London- A team of researchers has discovered that the more severely a mother is infected with Covid-19, the more likely she is to experience preterm birth.
The researchers reported that the rate of preterm birth in nearly 1,000 pregnant women, who tested positive for SARS-CoV-2, the virus that causes Covid-19, was a function of the severity of infection.
"The more severe the SARS-CoV-2 infection, the greater the risk of preterm birth," said researcher Roberto Romero from the Wayne State University School of Medicine in the US.
"There was a dose-dependent relationship between the severity of SARS-CoV-2 infection and the risk of prematurity," Romero added.
For the study published in the American Journal of Obstetrics and Gynecology, the team included data from 14 National Health Service (NHS) maternity hospitals in the UK to assess the effects of SARS-CoV-2 infection in pregnancy.
The excess rate of premature birth, they report, is largely due to medically-induced preterm birth brought about by concerns for health of the mother, such as preeclampsia.
Preterm birth, the leading cause of perinatal morbidity and mortality worldwide, is defined as one that occurs before 37 weeks of gestation.
Two-thirds of preterm births are due to the spontaneous onset of preterm labour. The remaining third is due to medical conditions that affect either the mother or the unborn baby that necessitate delivery.
The more severe the Covid-19 infection, the greater the risk of preeclampsia, a sudden increase in blood pressure after the 20th week of pregnancy.
The condition is responsible for 76,000 maternal deaths and more than 5,00,000 infant deaths every year.
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Toronto, Aug 10 (IANS) Depression and anxiety symptoms have doubled in children and adolescents when compared to pre-pandemic times, according to an alarming study.Researchers at the University of Calgary conducted a meta-analysis, pooling together data from 29 separate studies from around the world, including 80,879 youth globally.The findings, published in the medical journal JAMA Pediatrics, showed that an alarming percentage of children and adolescents are experiencing a global-wide mental crisis due to the Covid-19 pandemic."Estimates show that one in four youth globally are experiencing clinically elevated depression symptoms while one in five have clinically elevated anxiety symptoms," said lead author Dr Nicole Racine, a postdoctoral associate, and clinical psychologist at the varsity. More alarmingly, these symptoms are compounding over time.The study -- which incorporates 16 studies from East Asia, four from Europe, six from North America, two from Central and South America and one from the Middle East -- also shows that older adolescents and girls are experiencing the highest levels of depression and anxiety."We know from other studies that rates of depression and anxiety in youth tend to ebb and flow with restrictions. When more restrictions are imposed, rates go up. Being socially isolated, kept away from their friends, their school routines, and social interactions has proven to be really hard on kids," said Dr Sheri Madigan, a Calgary varsity clinical psychologist.Older teens in particular have missed out on significant life events such as graduations, sporting events, and various coming of age activities."These kids didn't imagine that when they graduated, they'd never get to say goodbye to their school, their teachers or their friends, and now they're moving on to something new, with zero closure," Racine said. "There's a grieving process associated with that."While mental health symptoms in youth are rising, more mental health support should be put in place to help children and adolescents in this time of need."If we want to mitigate the sustained mental health effects of Covid-19, because of the chronic stressors our youth experienced, we have to prioritise recovery planning now. Not when the pandemic is over, but immediately. Because kids are in crisis right now," Madigan said.--IANSrvt/vd
Chennai, Aug 9 (IANS) Non-life insurer Future Generali India Insurance Company Ltd (FGII) on Monday said it has set up a dedicated Covid-19 ward for mothers and new-born at Nowrosjee Wadia Maternity Hospital in Mumbai. According to FGII, the initiative is set to benefit over 2,500 mothers and newborns. The beneficiaries would be provided with Covid-19 treatment and care.In addition, FGII has also provided medical equipment like X-ray machines, ECG machine, warmers, syringe pumps and infusion pumps as part of its corporate social responsibility (CSR) initiative.The company is a joint venture between India's Future group and Italy's Generali group."Owing to ongoing pandemic, the healthcare system has already been reeling under intense stress. At FGII, we were cognisant of the difficulties that second-wave of pandemic had unleashed, thus, post internal deliberations, we decided to extend our support to the health machinery for alleviating the challenges that expecting mothers have been facing. We are hopeful that our small contribution would support government's efforts in the war against this pandemic," Ruchika Varma, Chief Marketing Officer said.--IANSvj/vd
<br>Being confined to a limited space, unable to meet peers and friends, unable to indulge in sports and physical activities, pursuing education via Internet on mobile and laptop screens or sometimes being left out of classes because the facility is not available, it's a difficult world to adapt to. And while everyone gets a say, they are asked to shut up and study, they are expected to be grateful that they are not getting infected.This causes immense stress on a child, leading to fear, anxiety, sleep disturbance, mood disturbance and behavioural issues. Many children who were already vulnerable have developed panic disorders, obsessive compulsive disorders and anxiety and mood related disorders. The impact on self-esteem and confidence is significant. Some have witnessed higher levels of family conflicts and domestic violence. The uncertainty associated with exams, future, career has further confused high school children. Internet and gaming addiction is on the rise and psychosomatic problems are widespread.<br> <br>The problem statement is huge but it needs to be defined to take effective steps. As psychiatrists, we often see children being referred for behavioural issues but parents are reluctant due to stigma associated with the word psychiatry. But closing one's eyes doesn't make the problem go away. We, as adults, need to anticipate the problem and take preventive measures. Taking into cognizance that children are vulnerable is the first step. Talking to them about their feelings, letting them express their emotions, taking guidance and counselling to manage stress are all measures which can help in avoiding negative outcomes. We need a proper routine, a mutually supportive social environment and discipline to engage in daily activities productively. The emphasis has to be on finding a balance with new way of life, apart from Covid-appropriate behaviour to avoid infection, there needs to be a strategy to ensure balance between physical, emotional and social aspects of life. Interacting regularly with friends and families in small groups, taking time out to play, getting off the screen to enjoy the beauty of nature surrounding us, cooking and eating together, music, dance, arts and crafts are all ways to add creative interest in daily life and de-stress regularly. Those who have lost close family members and parents need professional intervention to deal with the trauma associated with sudden loss.<br> <br>With foresight and empathy, we can find a way to adapt to the post-Covid world and hopefully make it even better.(Jyoti Kapoor is Senior Psychiatrist and Founder of Manasthali)--IANS<br>jyoti/tb
The more you procrastinate, the higher your risk of developing dental problems. Visiting your dentist regularly can actually make the entire process easier on many levels.
Richa Vats, a doctor and Geriatric Dentist shares how to deal with dental anxiety and overcome any fears:
Dental anxiety is just like any other anxiety: Choose your dentist wisely. Choose a dentist who will listen and acknowledge your fears if they can't be empathetic when you are talking to them, it's likely they won't be during the treatment either. The right dental team will make sure your dental and your emotional health are taken care of.
Fear of needles: The fear of needles isn't just restricted to dental patients make sure you talk about this to your dentist before the appointment. There are effective numbing gels that are given before injections. This means you won't feel anything.
The drill: This instrument may sound and look scary. But it only dispenses air, water and rotates the drilling bur. When sufficiently numbed you won't feel any pain at all. Just some vibration is felt. If the sound troubles you keep your earphones handy and listen to your favourite song
Pain: If you had a bad experience previously you may be afraid of it happening again. This can be managed by learning ways to relax, deep breathing techniques, a dentist you are comfortable with and numbing gels.
Embarrassment about bad teeth: You don't have to be conscious of your teeth, we have seen worse. We as dentists won't ever judge you by your tooth health. That's the reason you are here to visit us. Keep a consultation appointment before your procedure so that you can talk to your dentist about your fears and they can make you more comfortable during the procedure.
Sedation fears: These fears can be categorised into two categories: Some feel they will not be numb enough and they will be in pain. While others fear being numb will cause them to doze off or suffocate, choke or unable to swallow. It is important to realise that the tooth in concern is the one that is being anaesthetized. Sometimes your cheek tongue may feel swollen when numbed but it won't be. Also, anaesthesia makes you lose the sensation in these areas but not the function.
Now let's talk about how can we help you overcome your dental fears and anxiety. Identify your fears. Once you know what exactly you are fearful about you can start working towards the solution.
Talk: You will have to speak about your dental anxiety and what caused it. It could be a past traumatic procedure with you or someone known to you, or it could be your fear of the unknown. Your dentist and the dental team would be able to cater to your needs in a better way if they know about your anxiety. You can plan your appointment in the morning when you are relaxed. Also, don't be afraid to ask questions. Ask your dentist to explain the entire procedure to you beforehand. If you experience pain even with the local anaesthetics, be vocal about it. Don't be shy to interrupt the dentist via a signal during the procedure if you are uncomfortable.
Distract yourself: This is an effective method to reduce dental anxiety. You can wear headphones if the sound of the drill bothers you and hear your favourite music. You can also squeeze a stress ball or play with a small handheld object like a fidget spinner while you are being operated upon. Mentally you can try imagining your happy place and visualise yourself at a relaxing beach or a garden etc.<br> <br>Mindful techniques: Relaxation starts in the mind so try deep breathing exercises to help relax tension in your muscles. You can also take short breaks in between the procedure. Count your breaths slowly and then exhale for the same number of counts. Concentrate on relaxing your muscles one body part at a time starting with your head and work all the down to your toe.<br> <br>Take someone with you: Some patients find it comforting to take a friend along.<br> <br>Ask for the perception of pain: Your dentist can tell you about the sensations you might experience, for instance, a tingle or a mosquito bite.<br> <br>Seek professional help: The best course of action is to deal with the root cause of your fear and unless you do this you will always fear trips to the dentist. These fears and anxieties may affect your quality of life if they are left untreated and may prevent you from having important treatment or visiting the dentist at all.
(This article is website exclusive and cannot be reproduced without the permission of IANSlife. N. Lothungbeni Humtsoe can be contacted at [email protected]
Jakarta, June 30 (IANS) Indonesia has launched a Covid-19 vaccination program for pregnant women, breastfeeding mothers, and children aged 12 to 18, Vice President Ma'ruf Amin announced here.In his announcement on Tuesday, Amin said he welcomed the vaccine rollout for the above mentioned categories, who are all listed as vulnerable to Covid-19, adding that inoculation is a game changer in dealing with the pandemic, reports Xinhua news agency.Since the entry of the more contagious Delta variant, the number of Covid-19 infected children in the Southeast Asian country has increased by 12.5 per cent, according to data provided by the Indonesian Pediatrician Association.Indonesia's national agency of drug and food control BPOM recently allowed the emergency use of the Covid-19 vaccine for children aged 12 to 17 at a medium dose. Meanwhile, the Indonesian association of obstetrics and gynecology POGI recommended Covid-19 vaccination for pregnant women, especially those with high risk of being exposed. In a statement on June 26, President Joko Widodo had announced that Indonesia has set a target of administering two million doses of the Covid-19 vaccine daily in August in efforts to curb the surge in the number of new cases.He attributed the ongoing resurgence to the highly contagious Delta, Alpha and Beta variants.Indonesia has administered 36,581,555 Covid vaccines till date, including 12.91 million second doses.Since the beginning of the pandemic in early 2020. the country has registered a total of 2,156,465, with 58,024 deaths.The pandemic has spread to all of Indonesia's 34 provinces.--IANSksk/